Evidence map›Paper›PMID 27207972›Full record

ArticleJournal of the American Heart Association2016

Plasma Levels of Proprotein Convertase Subtilisin/Kexin Type 9 Are Elevated in Patients With Peripheral Artery Disease and Associated With Metabolic Disorders and Dysfunction in Circulating Progenitor Cells.

Ting-Hsing Chao, I-Chih Chen, Yi-Heng Li, Po-Tseng Lee, Shih-Ya Tseng

Erratum issued 2 registry-linked trialsOpen access · goldAbstract read
In one paragraph

Article in Journal of the American Heart Association, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to 2 registered trials, which are not on this map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
2.6field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01952756 phase4completednot on this map

Cilostazol Enhances the Number and Functions of Circulating Endothelial Progenitor Cells and Collateral Formation Assessed by Dual-energy 128-row CT Angiography Mediated Through Multiple Mechanisms in Patients With Mild-to-moderate PAOD

TypeinterventionalSponsorNational Cheng-Kung University HospitalRan2012 to 2013Enrolled44ConditionsPeripheral Arterial DiseasesArmsCilostazol, Dummy Placebo
NCT02194686 phase4completednot on this map

Cilostazol Enhances the Number and Functions of Circulating Endothelial Progenitor Cells Mediated Through Multiple Mechanisms in Patients With High Risk for Cardiovascular Disease

TypeinterventionalSponsorNational Cheng-Kung University HospitalRan2013 to 2014Enrolled71ConditionsCardiovascular DiseasesArmsCilostazol, Dummy Placebo
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 27 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 1 country.

Ting-Hsing ChaoDepartment of Internal Medicine, National Cheng Kung University College of Medicine and Hospital, Tainan, Taiwan chaotinghsing@gmail.com.
I-Chih ChenDepartment of Internal Medicine, Tainan Municipal Hospital, Tainan, Taiwan.
Yi-Heng LiDepartment of Internal Medicine, National Cheng Kung University College of Medicine and Hospital, Tainan, Taiwan.
Po-Tseng LeeDepartment of Internal Medicine, National Cheng Kung University College of Medicine and Hospital, Tainan, Taiwan.
Shih-Ya TsengDepartment of Biological Science, National Sun Yat-Sen University, Kaohsiung, Taiwan.
National Cheng Kung University Hospital · TWNational Sun Yat-sen University · TWTainan Municipal Hospital · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundProprotein convertase subtilisin/kexin type 9 (PCSK9) is involved in cholesterol homeostasis, inflammation, and oxidative stress. This study investigated the association of plasma PCSK9 levels with the presence and severity of peripheral artery disease (PAD) and with parameters of endothelial homeostasis. METHODS AND

resultsA post hoc analysis of 2 randomized trials (115 patients, 44 with PAD and 71 without atherosclerotic disease) was conducted. Patients with PAD had significantly higher plasma PCSK9 levels than those without (471.6±29.6 versus 302.4±16.1 ng/mL, P<0.001). Parameters for glucose homeostasis, endothelial progenitor cell functions, apoptotic circulating endothelial cell counts, and plasma levels of vascular endothelial growth factor-A165 and oxidized low-density lipoprotein were correlated with PCSK9 concentration. By multivariable linear regression analysis, presence of PAD, plasma glucose or hemoglobin A1c levels, apoptotic circulating endothelial cell counts, and vascular endothelial growth factor-A165 concentration were found to be associated with PCSK9 levels after multivariable adjustment. Patients with extensive involvement of PAD or with severe PAD had significantly higher PCSK9 levels than those without PAD. Computed tomographic angiography showed that the numbers of chronic total occlusion sites and vessels involved were positively associated with PCSK9 levels in patients with PAD (r=0.40, P=0.01, and r=0.36, P=0.02, respectively).

conclusionPCSK9 levels were significantly higher in patients with PAD, especially those with advanced PAD. Further large-scale studies examining the effect of PCSK9-targeting therapies or the modification of PCSK9 levels on cardiovascular outcomes in this clinical setting are warranted. CLINICAL

trial registrationCohort 1: URL: ClinicalTrials.gov. Unique identifier: NCT01952756; cohort 2: URL: ClinicalTrials.gov. Unique identifier: NCT02194686.

Indexed as

Endothelial Progenitor CellsAgedApoptosisArterial Occlusive DiseasesBlood GlucoseChronic DiseaseComputed Tomography AngiographyFemaleGlycated HemoglobinHumansLinear ModelsLipoproteins, LDLMaleMiddle AgedMultivariate AnalysisPeripheral Arterial DiseaseBlood GlucoseGlycated Hemoglobinhemoglobin A1c protein, humanLipoproteins, LDLoxidized low density lipoproteinPCSK9 protein, humanProprotein Convertase 9Vascular Endothelial Growth Factor AVEGFA protein, humanperipheral artery diseaseprogenitor cellproprotein convertase subtilisin/kexin type 9

Identifiers

PMID27207972
PMCPMC4889209
OpenAlexW2396537600

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.